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Plasma HIV-1 RNA Dynamics in Antiretroviral-Naive Subjects Receiving either Triple-Nucleoside or Efavirenz-Containing Regimens: ACTG A5166s
by
Shikuma, Cecilia
, Reichman, Richard
, Santana, Jorge
, Meyer, William A.
, Kuritzkes, Daniel R.
, Koletar, Susan L.
, Ribaudo, Heather J.
, Riddler, Sharon A.
, Gulick, Roy M.
, Squires, Kathleen E.
, Klingman, Karin L.
in
AIDS
/ Anti-HIV Agents - administration & dosage
/ Anti-HIV Agents - pharmacology
/ Antiretrovirals
/ Benzoxazines - administration & dosage
/ Benzoxazines - pharmacology
/ Clinical trials
/ Dideoxynucleosides - administration & dosage
/ Dideoxynucleosides - pharmacology
/ Drug Therapy, Combination
/ Female
/ HIV 1
/ HIV Infections - blood
/ HIV Infections - drug therapy
/ HIV Infections - virology
/ HIV-1 - drug effects
/ HIV-1 - genetics
/ HIV/AIDS
/ Human immunodeficiency virus 1
/ Humans
/ Lamivudine - administration & dosage
/ Lamivudine - pharmacology
/ Male
/ Men
/ Nucleosides
/ Prospective Studies
/ Regression Analysis
/ RNA
/ RNA, Viral - blood
/ T lymphocytes
/ Time Factors
/ Virology
/ Viruses
/ Zidovudine - administration & dosage
/ Zidovudine - pharmacology
2007
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Plasma HIV-1 RNA Dynamics in Antiretroviral-Naive Subjects Receiving either Triple-Nucleoside or Efavirenz-Containing Regimens: ACTG A5166s
by
Shikuma, Cecilia
, Reichman, Richard
, Santana, Jorge
, Meyer, William A.
, Kuritzkes, Daniel R.
, Koletar, Susan L.
, Ribaudo, Heather J.
, Riddler, Sharon A.
, Gulick, Roy M.
, Squires, Kathleen E.
, Klingman, Karin L.
in
AIDS
/ Anti-HIV Agents - administration & dosage
/ Anti-HIV Agents - pharmacology
/ Antiretrovirals
/ Benzoxazines - administration & dosage
/ Benzoxazines - pharmacology
/ Clinical trials
/ Dideoxynucleosides - administration & dosage
/ Dideoxynucleosides - pharmacology
/ Drug Therapy, Combination
/ Female
/ HIV 1
/ HIV Infections - blood
/ HIV Infections - drug therapy
/ HIV Infections - virology
/ HIV-1 - drug effects
/ HIV-1 - genetics
/ HIV/AIDS
/ Human immunodeficiency virus 1
/ Humans
/ Lamivudine - administration & dosage
/ Lamivudine - pharmacology
/ Male
/ Men
/ Nucleosides
/ Prospective Studies
/ Regression Analysis
/ RNA
/ RNA, Viral - blood
/ T lymphocytes
/ Time Factors
/ Virology
/ Viruses
/ Zidovudine - administration & dosage
/ Zidovudine - pharmacology
2007
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Plasma HIV-1 RNA Dynamics in Antiretroviral-Naive Subjects Receiving either Triple-Nucleoside or Efavirenz-Containing Regimens: ACTG A5166s
by
Shikuma, Cecilia
, Reichman, Richard
, Santana, Jorge
, Meyer, William A.
, Kuritzkes, Daniel R.
, Koletar, Susan L.
, Ribaudo, Heather J.
, Riddler, Sharon A.
, Gulick, Roy M.
, Squires, Kathleen E.
, Klingman, Karin L.
in
AIDS
/ Anti-HIV Agents - administration & dosage
/ Anti-HIV Agents - pharmacology
/ Antiretrovirals
/ Benzoxazines - administration & dosage
/ Benzoxazines - pharmacology
/ Clinical trials
/ Dideoxynucleosides - administration & dosage
/ Dideoxynucleosides - pharmacology
/ Drug Therapy, Combination
/ Female
/ HIV 1
/ HIV Infections - blood
/ HIV Infections - drug therapy
/ HIV Infections - virology
/ HIV-1 - drug effects
/ HIV-1 - genetics
/ HIV/AIDS
/ Human immunodeficiency virus 1
/ Humans
/ Lamivudine - administration & dosage
/ Lamivudine - pharmacology
/ Male
/ Men
/ Nucleosides
/ Prospective Studies
/ Regression Analysis
/ RNA
/ RNA, Viral - blood
/ T lymphocytes
/ Time Factors
/ Virology
/ Viruses
/ Zidovudine - administration & dosage
/ Zidovudine - pharmacology
2007
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Plasma HIV-1 RNA Dynamics in Antiretroviral-Naive Subjects Receiving either Triple-Nucleoside or Efavirenz-Containing Regimens: ACTG A5166s
Journal Article
Plasma HIV-1 RNA Dynamics in Antiretroviral-Naive Subjects Receiving either Triple-Nucleoside or Efavirenz-Containing Regimens: ACTG A5166s
2007
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Overview
Objective. We sought to compare clearance rates of plasma human immunodeficiency virus type 1 (HIV-1) RNA in men and women starting triple-nucleoside-based versus efavirenz (EFV)-based regimens. Methods. First- and second-phase decay rates of plasma HIV-1 were compared in men and women initiating a triple nucleoside reverse-transcriptase inhibitor (NRTI) regimen versus regimens that included EFV plus an NRTI. Subjects (n=64) were randomized to receive zidovudine/lamivudine/abacavir (triple-nucleoside regimen), zidovudine/lamivudine plus EFV (3-drug EFV regimen) or zidovudine/lamivudine/abacavir plus EFV (4-drug EFV regimen). Plasma HIV-1 RNA levels were fitted to a biexponential viral-dynamics model using a nonlinear mixed-effects model. Nonparametric Wilcoxon tests compared empirical Bayes estimates of first- and second-phase viral decay rates between treatment arms and sex. Results. Median first-phase viral decay rates were significantly faster in subjects receiving the 3-drug EFV regimen (0.67/day), compared with those receiving the triple-nucleoside regimen (0.56/day; P=.02). The second-phase viral decay rate was also faster in the 3-drug EFV group than in the triple-nucleoside group (P=.09). Decay rates in the 4-drug EFV group were intermediate. Viral decay rates were not significantly different in men and women. Conclusions. Faster initial viral decay in subjects randomized to a 3-drug EFV-based regimen corresponded to the overall superior efficacy of that regimen. Viral decay rates did not differ by sex.
Publisher
The University of Chicago Press,University of Chicago Press
Subject
/ Anti-HIV Agents - administration & dosage
/ Anti-HIV Agents - pharmacology
/ Benzoxazines - administration & dosage
/ Dideoxynucleosides - administration & dosage
/ Dideoxynucleosides - pharmacology
/ Female
/ HIV 1
/ HIV Infections - drug therapy
/ HIV/AIDS
/ Human immunodeficiency virus 1
/ Humans
/ Lamivudine - administration & dosage
/ Male
/ Men
/ RNA
/ Virology
/ Viruses
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